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Free vascularized fibular grafting of the femoral head for the treatment of osteonecrosis

Publication ,  Journal Article
Katz, MA; Urbaniak, JR; Aaron, RK
Published in: Techniques in Orthopaedics
January 1, 2001

Osteonecrosis of the femoral head is a debilitating disease that primarily affects the young adult. As total hip arthroplasty is undesirable in this population, many alternatives to femoral head salvage have been reported; unfortunately, these options have stimulated much controversy and results have been less than ideal. Free vascularized fibular grafting to the femoral head, however, has shown some success, with a survival of greater than 10 years in more than 80% of cases, particularly in hips without subchondral collapse. This procedure may also benefit young patients with more advanced osteonecrosis of the femoral head by halting progression of collapse, prolonging reduction of symptoms, and postponing total hip replacement. The authors' experience with free vascularized fibular grafting for the management of femoral head osteonecrosis is shared in detail, with an overview of indications, preoperative evaluation, surgical techniques, and postoperative care.

Duke Scholars

Published In

Techniques in Orthopaedics

DOI

ISSN

0885-9698

Publication Date

January 1, 2001

Volume

16

Issue

1

Start / End Page

44 / 60

Related Subject Headings

  • Orthopedics
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Katz, M. A., Urbaniak, J. R., & Aaron, R. K. (2001). Free vascularized fibular grafting of the femoral head for the treatment of osteonecrosis. Techniques in Orthopaedics, 16(1), 44–60. https://doi.org/10.1097/00013611-200103000-00007
Katz, M. A., J. R. Urbaniak, and R. K. Aaron. “Free vascularized fibular grafting of the femoral head for the treatment of osteonecrosis.” Techniques in Orthopaedics 16, no. 1 (January 1, 2001): 44–60. https://doi.org/10.1097/00013611-200103000-00007.
Katz MA, Urbaniak JR, Aaron RK. Free vascularized fibular grafting of the femoral head for the treatment of osteonecrosis. Techniques in Orthopaedics. 2001 Jan 1;16(1):44–60.
Katz, M. A., et al. “Free vascularized fibular grafting of the femoral head for the treatment of osteonecrosis.” Techniques in Orthopaedics, vol. 16, no. 1, Jan. 2001, pp. 44–60. Scopus, doi:10.1097/00013611-200103000-00007.
Katz MA, Urbaniak JR, Aaron RK. Free vascularized fibular grafting of the femoral head for the treatment of osteonecrosis. Techniques in Orthopaedics. 2001 Jan 1;16(1):44–60.

Published In

Techniques in Orthopaedics

DOI

ISSN

0885-9698

Publication Date

January 1, 2001

Volume

16

Issue

1

Start / End Page

44 / 60

Related Subject Headings

  • Orthopedics
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering